The assessment of septal wall motion in patients undergoing CABG by myocardial perfusion-gated SPECT

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dc.contributor.authorOzdemir, Semra
dc.contributor.authorYener, Ali Umit
dc.contributor.authorBarutcu, Ahmet
dc.contributor.authorTan, Yusuf Z.
dc.contributor.authorCelik, Fatmanur
dc.date.accessioned2025-01-27T20:17:04Z
dc.date.available2025-01-27T20:17:04Z
dc.date.issued2015
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractPurposeIn this study, we aimed to assess the presence and prevalence of paradoxical septal motion (PSM) by myocardial perfusion-gated single-photon emission computed tomography (SPECT) imaging in patients undergoing coronary artery bypass grafting (CABG).MethodsA total of 172 patients (145 men and 27 women, with a mean age of 64.818.93 years) undergoing CABG surgery were included in the study. All selected scintigraphic studies of the patients undergoing CABG were reprocessed. Semiquantitative interpretation of septal perfusion, wall motion, and wall thickening was performed with QPS and QGS programs. Phase analysis parameters were also obtained using the Emory Cardiac Toolbox. According to myocardial perfusion-gated SPECT results, the patients were trichotomized as follows: group 1 (nonischemic PSM): regular perfusion and thickening of the septal wall and abnormal motion of the septal wall; group 2 (ischemic PSM): abnormal perfusion, motion, and thickening of the septal wall; group 3 (non-PSM): normal perfusion, motion, and thickening of the septal wall. The data in each of the three groups were compared using Student's t-test and one-way analysis of variance.ResultsNo PSM (normal perfusion, motion, and thickening of the septal wall) was observed in 19.2% of patients undergoing CABG, whereas nonischemic PSM (regular perfusion and thickening of the septal wall and abnormal motion of the septal wall) was observed in 60.5% of patients and ischemic PSM (abnormal perfusion, motion and thickening of the septal wall) was seen in 20.3% of patients.ConclusionAccording to our study results, PSM is fairly common in patients undergoing CABG. It will be beneficial to use myocardial perfusion scintigraphy-gated SPECT, which is a noninvasive examination method, to identify the presence of PSM and investigate whether it is accompanied by ischemia or infarction.
dc.identifier.doi10.1097/MNM.0000000000000309
dc.identifier.endpage746
dc.identifier.issn0143-3636
dc.identifier.issn1473-5628
dc.identifier.issue7
dc.identifier.pmid25816362
dc.identifier.scopus2-s2.0-84931075223
dc.identifier.scopusqualityQ3
dc.identifier.startpage738
dc.identifier.urihttps://doi.org/10.1097/MNM.0000000000000309
dc.identifier.urihttps://hdl.handle.net/20.500.12428/21482
dc.identifier.volume36
dc.identifier.wosWOS:000356371800011
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofNuclear Medicine Communications
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectcoronary artery bypass grafting
dc.subjectmyocardial perfusion-gated SPECT
dc.subjectparadoxical septal motion
dc.titleThe assessment of septal wall motion in patients undergoing CABG by myocardial perfusion-gated SPECT
dc.typeArticle

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